| NPI | 1770916884 |
|---|---|
| Former Name | JENNIFER SMOTHERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-76072-051) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 76072) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2022-08-30 |